Familial amyloidosis cutis dyschromica: a case report

Amyloidosis cutis dyschromica [ACD] is a rare form of macular amyloidosis characterized by hypo and hyperpigmented macules. Here we described a 20 year old girl with diffuse hypo and hyperpigmentation since she was four years old. Five other members of her family are also involved. Biopsy of hyperpigmented lesions revealed increase of melanin in the basal layer, pigment incontinence and amorphous eosinophilic masses stained positive with Congo red in the papillary dermis. The histopathologic findings were consistent with amyloidosis cutis dyschromica. Other investigations were normal. Dermatologists should consider amyloidosis cutis dyschromica when visit a patient with diffuse hypo and hyperpigmentation

survey on effect of health education on health volunteer performance and knowledge in prevention of cutaneous leishmaniasis in Yazd

Cutaneous leishmaniasis [CL], is one of the health priorities in many of the tropical areas of the world, and is also very common in Iran, especially in urban areas of the country. The best way of prevention of the disease is to increase knowledge in terms of prevention and early referral of suspected cases to physician, as well as suitable treatment for patients. To define the influence of education on health volunteer performance and knowledge about CL in Yazd. In this semiempirical survey, knowledge and performance of 74 randomly selected health volunteers in Yazd were assessed via questionnaire before and after the education. The resulting data were processed and analyzed by SPSS software and with ANOVA and paired t test exams. This survey showed that knowledge and performance of health volunteers after the training course increased by 44% and 56%, with mean of 7.53 before education to 10.84 after the course, and from 1.12 to 1.75 respectively. The effect of the training course in terms of level of literacy and age group were assessed resulted in meaningful differences, as well. It seems that the education has a significant influence on increase of knowledge and performance of health volunteer, and as these personnel have essential role in people's knowledge and health situation in community, so continuous use of these educational courses may result in a decline in prevalence of the disease

Evaluation of onychomycosis among diabetic patients of Yazd diabetic center

The population suffering from diabetes is increasing all over the world. In Iran, the prevalence of diabetes is reported from 5 to 8 percent and the highest figure is for Yazd and Booshehr Province. In diabetic patients infections of nail and skin pose a great danger. To determine the prevalence of onychomycosis in diabetic patients and its relation with age, gender, period of diabetes and its control. This descriptive study involved 262 diabetic type 2 patients which were referred to the Yazd diabetic clinic during years of 2008 to 2009. All the patients were examined by a dermatologist and the patients with clinical doubt were sent for the laboratory tests i.e. smear and culture. Confirmed cases of onychomycosis were treated with terbinafine 250mg/day for four months. The patients were followed up clinically every month and data were recorded. In the end of treatment protocol, direct smear and culture from nails was taken. 262 diabetic patients [123 men and 139 women] were examined. The mean age of patients and diabetic duration were 59.12 +/- 10.96 years and 7.24 +/- 12.8 years, respectively .Onychomycosis was diagnosed clinically in 18 patients [6.9%] and proved by culture only in 10 patients [3.8%]. 70% of onychomycosis cases were men and 60% were over 60 years old. No significant relation was found between the frequency of onychomycosis and the diabetic duration but in the patients having a weaker control of diabetes onychomycosis was more frequent. The frequency of onychomycosis in diabetic patients type 2 is 3.8% and it had a significant relation with the weak control of diabetes

Multidermatomal zosteriform lupoid cutaneous ieishmaniasis: a case report

Leishmaniasis is the result of infection with intracellular protozoan parasites belonging to the genus Leishmania. Cutaneous Leishmaniasis [CL] may present with unusual clinical variants such as acute paronychial, annular, palmoplantar, zosteriform, erysipeloid, lupoid and sporotrichoid. Infection is transmitted by the bite of the sandfly. We report a multidermatomal zosteriform lupoid cutaneous Leishmaniasis

Frequency of skin disorders according to ICD 10 in patients referred to the skin clinic of Yazd University of Medical Sciences in the summer of 1999

Getting access to information about expansion and spread of skin diseases and determination of common types of them in any specific area has particular importance. There is no doubt that cultural, social, and genetic factors play an important role in the epidemiology of skin diseases. To determine the frequency of various skin diseases in patients referred to Sadooghi Hospital in Yazd in the summer of year 1999. This descriptive study was done on 1000 patients who referred to the skin clinic. Final clinical diagnoses of patients were classified according to ICD 10. According to ICD 10, more than 60 diseases were diagnosed among which infectious diseases of skin were the commonest [23%] and viral diseases formed about one third of total infections. 19% of cases had dermatitis of which two third were contact dermatitis. 10.8% of cases had acne and 7.8% had melasma. In patients under 15 years of age infectious diseases and in patients 15-25 years of age acne were the most commonly found diseases. Cutaneous leishmaniasis, which is endemic in the study area was the most common parasitic skin infection. Infectious diseases and dermatitis are among the most commonly diagnosed skin diseases in Yazd and need to be considered carefully to make a comprehensive plan to control